Individual provider · Type 1 NPI

Maddison Souza, PA-C

Physician Assistant · Portland, OR

NPI number 1083347389 Active

Practice location

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933

Call (503) 214-5200 Map

Fax (503) 906-6613

Mailing address

588 Longmeadow St
Longmeadow, MA 01106-2212

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA221312 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083347389

Maddison Souza, PA-C's National Provider Identifier is 1083347389, issued on Jul 5, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Jul 10, 2024.